Kiza Balola is a Peer Specialist based in Portland, OR. Kiza Balola practices in Portland, OR. The NPI Number for Kiza Balola is 1316656259 and holds a License No. (Oregon).
The current practice location address for Kiza Balola is 605 Se Cesar E Chavez Blvd, Portland, OR and can be reached out via phone at 503-231-7480.
Location: 605 Se Cesar E Chavez Blvd, Portland, OR, 97214-3216
Provider Profile Details
NPI Number
1316656259
Provider Name
Kiza Balola
Credential
Provider Entity Type
Individual
Gender
Female
Address
605 Se Cesar E Chavez Blvd, Portland, OR, 97214-3216
Phone Number
503-231-7480
Fax Number
Provider Enumeration Date
11/18/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
605 Se Cesar E Chavez Blvd
City
State
Zip
97214-3216
Phone Number
503-231-7480
Fax Number
Provider Business Mailing Address Details
Address
605 Se Cesar E Chavez Blvd
City
State
Zip
97214-3216
Phone Number
503-231-7480
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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